Individual
SUMAN MISRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2545 E THOMAS RD STE 120, PHOENIX, AZ 85016-7969
(602) 419-3378
Mailing address
2545 E THOMAS RD STE 120, PHOENIX, AZ 85016-7969
(602) 419-3378
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
59144
AZ
207RC0000X
Cardiovascular Disease Physician
59144
AZ
207RN0300X
Nephrology Physician
Primary
59144
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2016
Last updated
10/24/2024
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